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    Qa Inpatient/Outpatient Medical Coder

    Symbion Coding
    5+ years
    $40/hr - $60/hr
    West Palm Beach
    10 July 22, 2024
    Job Description
    Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

    Job Title: Inpatient & Outpatient Coding Accuracy Reviewer

    Job Description:

    We are seeking a detail-oriented professional to perform accuracy reviews of inpatient and outpatient coding to ensure compliance with documentation and coding standards. This role involves evaluating the quality of coding and abstracting performed by staff, verifying the accuracy of assigned diagnostic and procedure codes, and ensuring adherence to relevant guidelines and coverage decisions.

    Responsibilities:

    • Review coded health information records to assess the quality and accuracy of coding and abstracting, including diagnostic and procedure codes and other abstracted data such as discharge disposition.
    • Ensure accurate coding for outpatient, day surgery, and inpatient records.
    • Verify code assignments and sequencing for claims in accordance with American Hospital Association (AHA) coding guidelines, CPT Assistant, AHA Coding Clinic, and national and local coverage decisions.
    • Collaborate closely with Symbion Coding leadership to review records with focused diagnosis and procedure codes, including specific APCs and DRGs, ensuring compliance in all coding areas.

    Qualifications:

    • Certification as a Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA), and registration as a Health Information Administrator (RHIA) or Health Information Technician (RHIT) from AHIMA.
    • U.S. applicants only.
    • Typically requires 5 years of QA experience in hospital coding for a large, complex healthcare system, including hospital coding, denial review, and/or coding quality review functions.

    Knowledge, Skills, & Abilities:

    • Expert knowledge and experience with ICD-10-CM/PCS and CPT coding systems, including G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Patient Categories (APC), MS-DRGs (Diagnosis Related Groups).
    • Advanced proficiency in Microsoft Applications (Excel, Word, PowerPoint, Teams).
    • Deep understanding of anatomy and physiology, medical terminology, pathophysiology (disease processes, surgical terminology, pharmacology).
    • Advanced knowledge of pharmacology, including indications for drug usage and related adverse reactions.
    • Expert in coding workflow and technology optimization, including navigating electronic health records and health information management and billing systems.
    • Excellent communication and reading comprehension skills.
    • Demonstrated analytical aptitude with high attention to detail and accuracy.
    • Ability to take initiative, work collaboratively, and operate independently.
    • Experience with remote workforce operations is required.
    • Strong ethical standards.

    Apply Now:

    If you meet these qualifications and are eager to contribute to our team, please apply today.

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